ARKANSAS CVS PHARMACY LLC (NPI# 1538317987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538317987 |
| Entity Type | Organization |
| Organization Name | ARKANSAS CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17357 |
| Practice Address |
4001 Phoenix Ave Fort Smith AR 72903-6099 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4797098941 |
| Practice Fax Number | 4797098951 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2016-09-29 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR20589 | AR | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2116735 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17357 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548575814 | Arkansas Cvs Pharmacy LLC | Pharmacy | 420 S University Ave, Little Rock, AR 72205-5246 | 2010-08-11 |
| 1114164597 | Arkansas Cvs Pharmacy LLC | Pharmacy | 2404 S Promenade Blvd, Rogers, AR 72758-9080 | 2009-01-07 |
| 1306096615 | Arkansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12700 Chenal Pkwy, Little Rock, AR 72211-3360 | 2008-09-23 |
| 1417039884 | Arkansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7377 Alcoa Rd, Bryant, AR 72022-6204 | 2006-10-19 |
| 1407878283 | Arkansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3545 N Shiloh Dr, Fayetteville, AR 72703-5359 | 2006-07-24 |
| 1316969199 | Arkansas Cvs Pharmacy LLC | Pharmacy | 501 Elsinger Blvd, Conway, AR 72032-4717 | 2006-07-24 |
| 1225050008 | Arkansas Cvs Pharmacy LLC | Pharmacy | 3000 E Highland Dr Ste A, Jonesboro, AR 72401-6376 | 2006-07-24 |
| 1760951602 | Arkansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2501 Mccain Blvd, North Little Rock, AR 72116-7606 | 2018-11-21 |
| 1134617301 | Arkansas Cvs Pharmacy LLC | Pharmacy | 101 E Main St, Russellville, AR 72801 | 2018-04-24 |
| Street Address |
4001 PHOENIX AVE |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-6099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558787945 | Joshua J Rust | Pharmacist | 4001 Phoenix Ave, Fort Smith, AR 72903-6099 | 2014-03-10 |
| 1144591942 | Van Anh Tran | Pharmacist | 4001 Phoenix Ave, Fort Smith, AR 72903-6099 | 2012-01-25 |
| 1366737249 | Heather Elizabeth Barham | Pharmacist | 4001 Phoenix Ave, T-2284, Fort Smith, AR 72903-6099 | 2011-06-18 |
| 1578857769 | Cynthia Kemayou Ngonga | Pharmacist | 4001 Phoenix Ave, Fort Smith, AR 72903-6099 | 2011-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992134381 | Pharmacy Specialties Group (inc) | Pharmacy | 12110 Highway 71 S # A, Fort Smith, AR 72916-8405 | 2013-11-06 |
| 1114242310 | Pharmacy Care of Arkansas LLC | Pharmacy | 3409 Wheeler Ave, Fort Smith, AR 72901-6625 | 2010-03-30 |
| 1831274125 | Pharmaceutical Investment Corp. | Pharmacy | 507 Lexington Ave, Fort Smith, AR 72901-4640 | 2006-10-26 |
| 1417039298 | Prince Drug Store Inc | Pharmacy | 1112 Towson Ave, Fort Smith, AR 72901-5002 | 2006-10-20 |
| 1861587669 | Medisav Homecare Pharmacies Inc | Pharmacy | 5701 Jenny Lind Rd, Fort Smith, AR 72908-7435 | 2006-10-04 |
| 1417057738 | Harps Food Stores, Inc | Pharmacy | 3401 S 74th St, Fort Smith, AR 72903-5025 | 2006-09-25 |
| 1841286572 | Maybranch Pharmacy | Pharmacy | 2801 Old Greenwood Rd, Ste. 11, Fort Smith, AR 72903-4560 | 2005-09-27 |
| 1417942731 | Laws Village Pharmacy, Inc. | Pharmacy | 2504 Market Trce, Fort Smith, AR 72908-8676 | 2005-09-13 |
| 1225037401 | National Iv, Inc. | Pharmacy | 5700 S Zero St, Ste. 2, Fort Smith, AR 72903-6505 | 2005-07-19 |
| 1689670457 | Amyco Inc | Pharmacy | 700 Lexington Ave, Fort Smith, AR 72901-4738 | 2005-06-24 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
Please comment or provide details below to improve the information on ARKANSAS CVS PHARMACY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.